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Dentists

Physicians. Dentists. Unite !. “One of the reasons heart attacks are not being prevented is because healthcare providers are not recognizing the link between cardiovascular disease and oral systemic health.”. —Dr. Bradley Bale, M.D. Co-founder of the Bale/Doneen Method.

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Dentists

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  1. Physicians Dentists Unite!

  2. “One of the reasons heart attacks are not being prevented is because healthcare providers are not recognizing the link between cardiovascular disease and oral systemic health.” —Dr. Bradley Bale, M.D. Co-founder of the Bale/Doneen Method

  3. Oral Health♥Systemic Health • Patients with diabetes are ⅓ less likely to visit an ER or to be hospitalized for the disease when they received regular dental care1 • Six periodontal pathogen spirochetes (T. socranskii, T. pectinovorum, T. denticola, T. medium, T. amylovorum and T. maltophilum) were detected in the brains of Alzheimer’s patients2 • The colony of F. nucleatum bacteria induces an inflammatory reaction that has a range of consequences from necrosis of tissue to fetal death3 • Research found a link between bacteria in the mouth and pneumonia4 • J Am Dent Assoc. 2012; 143:20-30 • Journal of Neuroinflammation 2011, 8:90 doi:10.1186/1742-2094-8-90 • Case Western Reserve University, Yiping Han. http://onlinelibrary.wiley.com/journal/10.1111/(ISSN)1365-2958. • Dr Samit Joshi of Yale University School of Medicine, http://www.telegraph.co.uk/health/healthnews/8979191/Bad-dental-health-can-lead-to-pneumonia-Yale-study-suggests.html

  4. Oral Health♥Vascular Health • Significant bacterial DNA of oral pathogens are present in coronary plaques1 • P. gingivalis is an important factor in the development of atherosclerosis affecting both macrophages and foam cells2 • The process of forming atheromas is triggered by P. gingivalis in vascular endothelial cells3 • Gum disease may be a greater risk factor for causing stroke than diabetes and just as much a factor as high blood pressure4 • AA amyloidosis accelerates atherosclerosis through LDL oxidation5 • J Periodontal Res. 2011 Aug;46(4):427-37. doi: 10.1111/j.1600-0765.2011.01356.x. Epub 2011 Mar 21. • Journal of Maxillofacial nd Oral Surgery • Atherosclerosis. 2010 Jul 21. • Impacts Of Periodontitis On Nonfatal Ischemic Stroke Thursday, March 17, 2011: IADR, San Diego • Murat Inanç Cengiz, Hasan Bagci, Kuddusi Cengiz | Vol.10 No.1

  5. Significant bacterial DNA of oral pathogens is present in coronary plaques Source: J Periodontal Res. 2011 Aug;46(4):427-37. doi: 10.1111/j.1600-0765.2011.01356.x. Epub 2011 Mar 21. Image courtesy of http://www.plactest.com

  6. Dr. Lloyd Rudy, MD: Heart attacks & strokes are primarily caused by a thrombus, not just artery occlusion

  7. “Don't ever forget to look at periodontal disease as an important source of inflammation in reference to cardiovascular disease.” —Dr. Marc Penn, MD, PhD Former Director of the Cardiac ICU Cleveland Clinic

  8. “Periodontal disease is now considered a medical disease.” —Dr. Marc Penn

  9. 30% of Americans don’t see a physician for regular checkups. Source: National Institute of Health

  10. 2= Number of times patients visit dentists per year Number of times patients see their primary care physicians per year <1= • 20 million Americans see a dentist but do not see a primary care physician • Dental visits last longer and give the patient more face time with health providers

  11. Referral Network between Physicians & Dentists When we coordinate our care, we get past standardized care and reach optimum care. Do physicians trust clearance from dentists? AAOSH is working on elevating the level of understanding of oral systemic health for dentists and physicians.

  12. Use systems to improve communication • Total Health • MyDentalETC • OralDNALabs • Inner Circle Referral Group

  13. Salivary Diagnostics: Advanced Genetic Testing without Drawing Blood • If P. gingivalis is present in the microbial burden, a person is13 times as likely to die from heart attack. • 1 in 3 people are hyper-responders to inflammation, indicating risk for cardiovascular disease is the same as a smoker. • Oral tests can detect HPV, which accompanies a 50-65% increased risk for oral and throat cancer.

  14. Dentist–Physician Collaboration Health Risk Assessments • Cardiovascular Disease • Diabetes • Pregnancy • Rheumatoid Arthritis • Emotional Disorders • Cancer History

  15. Now, more than ever, it is time to open communications and work together to reduce the effects of bad oral health on patients’ overall health.

  16. Start the Conversation. Be creative.

  17. Thank you Dr. Dan Sindelar for the presentation

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